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Increase Revenue Up to $200 Per Patient Per Month

As of January 1, 2020, Medicare updated the reimbursement for remote physiological monitoring (RPM).

MedHab, LLC has developed new, patented technologies in the remote wearable device field, affording medical care prescribers (Orthopedic Surgeons and/or Physical Therapists), patients, and seniors the ability to meet therapy, prevention and fall detection needs with complete remote access.

Long Term Care of Patients through Remote Patient Monitoring

John Early, MD
Medical Director MedHab, LLC

It wasn’t very long ago when the typical practice was full of activity. Patients were calling and appearing in person to be examined for a myriad of conditions. Surgeries were being performed. Therapy was being prescribed and patients were being seen for all sorts of conditions. Little thought was given to managing your practice without personal contact with patients.

Suddenly, a national health crisis was declared and “nonessential services” were halted and patients asked to stay home. Outside of trauma injuries, the steady flow of patients became a trickle. The carefully crafted business of medicine found itself in the same predicament as the local restaurant. There is no income without consumers. Without patients there is no means to pay employees. Like many small businesses, practices are either going to close or find new ways to take care of and interact with their patients.

Sometimes it takes a crisis to get physicians to examine a new way to manage patients. While we were busy running customer centric businesses, the Centers for Medicare and Medicaid (CMS) was quietly moving towards the world of remote patient monitoring and telehealth visits by developing reimbursable codes for healthcare personnel to use in the care of patients. In the first few years the rules were very restrictive but by January 2020 there were monthly codes available for remote physiologic monitoring of patients independent of face to face visits for chronic patient care.

What the recent national health care emergency did was highlight the availability of these codes and removed all restrictions. In response to “stay at home” we still have a responsibility to manage the long term health of our patients. Using this time to develop the office routines needed to take advantage of this evolving method of patient care can lead to a new steady ancillary income stream and assist in managing a greater number of patients with less overcrowding of offices. The aggregate of applicable codes could net up to $200 per patient per month.

“Under President Trump’s leadership, CMS has broadened access to Medicare Telehealth services so that beneficiaries can receive a wider range of services from their doctors without having to travel to a healthcare facility.”

From Medicare Telemedicine Health Care Provider Fact Sheet, March 17, 2020.

Innovative uses of telehealth and telemedicine

“Under this new waiver, Medicare can pay for office, hospital, and other visits furnished via telehealth across the country and including in patient’s places of residence starting March 6, 2020. A range of providers, such as doctors, nurse practitioners, clinical psychologists, licensed clinical social workers and now physical therapists are able to offer telehealth to their patients. Additionally, the HHS Office of Inspector General (OIG) is providing flexibility for healthcare providers to reduce or waive cost-sharing for telehealth visits paid by federal healthcare programs announced in this bulletin, https://oig.hhs.gov/fraud/docs/alertsandbulletins/2020/policy-telehealth-2020.pdf

Telehealth, telemedicine, and related terms generally refer to the exchange of medical information from one site to another through electronic communication to improve a patient’s health. Innovative uses of this kind of technology in the provision of healthcare is increasing. And with the emergence of the virus causing the disease COVID-19, there is an urgency to expand the use of technology to help people who need routine care, and keep vulnerable beneficiaries and beneficiaries with mild symptoms in their homes while maintaining access to the care they need. Limiting community spread of the virus, as well as limiting the exposure to other patients and staff members will slow viral spread.”  From the CMS Long-term Care Nursing Homes Telehealth and Telemedicine Toolkit, March 27, 2020.

MedHab remote wearable physiologic monitoring of patients

MedHab has been in the business of developing wearable technology which will allow remote physiologic monitoring of patients through their rehabilitative and maintenance therapies. MedHab, a remote wearable device technology company is in perfect synergy with the recommendations coming from CMS and the White House as a way to decrease in-person interactions. Through proper management of the reimbursable codes already in effect an, office could see up to $200 per patient / month. To further educate providers in regard to the recent Medicare RPM legislation and technology, MedHab has created a FREE Pre-recorded webinar (click here to register for the webinar).

RPM Revenue Calculator

Medicare Patient Enrolled in RPM program	200
CPT 99453 – Device Education & Training (one time +/- $20)	$3,800
CPT 99454 – Device Transmission Reimbursement (+/- $65 Monthly)	$153,600
CPT 99457 – Patient Care Plan Management (+/- $50 Monthly)	$122,400
Total Provider Compensation	$279,800

 

 

 

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Both devices feature the OTAGO Exercise Program that is clinically proven to reduce falls by 35%. As well, both devices are coded to capture heart rate and oxygen saturation and are shipped with a medical grade pulse oximeter. These features meet Medicare’s recommendation for Remote Patient Monitoring (RPM) and support provider’s ability to manage patients remotely throughout the year.

For More information, call us at 1-800-541-1420 or email support@medhab.com